CHRISTOPHER CANNELLA (NPI# 1487890638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487890638 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER CANNELLA |
| Credential | L.O. |
| Practice Address |
2385 Black Rock Tpke Fairfield CT 06825-3229 |
| Practice Telephone | 2033727533 |
| Practice Fax Number | 2033726614 |
| Mailing Telephone | 2033727533 |
| Mailing Fax Number | 2033726614 |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2008-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
1009 | CT | Eye and Vision Services Providers |
| Street Address |
2385 BLACK ROCK TPKE |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06825-3229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376535 | Andrew Kalach | Physical Therapist | 2373 Black Rock Turnpike, Fairfield, CT 06825 | 2020-08-13 |
| 1346871423 | Clarivision-advanced Eye Care | Optometrist | 40 Black Rock Turnpike, Fairfield, CT 06825 | 2020-01-28 |
| 1730720145 | L Burke LLC | Marriage & Family Therapist | 2501 Old Post Rd, 2nd Floor, Fairfield, CT 06825 | 2019-10-07 |
| 1760045066 | Stephen Miguel Pou | Dentist | 2150 Black Rock Tpke Ste 201, Fairfield, CT 06825 | 2019-04-22 |
| 1548716111 | Connecticut Orthopaedic Specialists, PC | Specialist | 425 Boston Post Road, Fairfield, CT 06825 | 2016-09-01 |
| 1497131239 | Alice Z Kelly | Social Worker | 113 Sky Top Drive, Fairfield, CT 06825 | 2015-08-04 |
| 1902218647 | John Feiler | Occupational Therapist | 175 Jefferson St., Fairfield, CT 06825 | 2014-05-29 |
| 1710242870 | Bridge Partnership, LLC | Community/Behavioral Health | 2505 Black Rock Turnpike, 2nd Floor, Fairfield, CT 06825 | 2012-07-05 |
| 1154614543 | Center for The Healing Arts, PC | Internal Medicine | 501 Kings Highway East, Suite 108, C/o Whole Body Medicine, Fairfield, CT 06825 | 2011-05-18 |
| 1538468012 | Barbara Cohen | Occupational Therapist | 175 Jefferson Street, Fairfield, CT 06825 | 2011-03-23 |
| Find all providers in zip 06825 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134754294 | Dorothy Reynolds | Technician/Technologist | 2480 Black Rock Tpk, Fairfield, CT 06825-2406 | 2020-03-10 |
| 1659698660 | Glenn T. Bemus | Technician/Technologist | 2480 Black Rock Tpke, Fairfield, CT 06825-2406 | 2010-04-29 |
| 1467560524 | Parklane Opticians of Fairfield,inc | Technician/Technologist | 1430 Post Road, Fairfield, CT 06824 | 2006-08-29 |
| 1033662911 | Dana Meeks | Technician/Technologist | 211 Donald Dr, Suite B, Fairfield, OH 45014-3006 | 2016-07-27 |
| 1902207442 | Usv Optical Inc. | Technician/Technologist | 40 Black Rock Tpke, Fairfield, CT 06825-5507 | 2014-09-15 |
| 1932356680 | Eyeowa Optical Company | Technician/Technologist | 122 N Court St, Fairfield, IA 52556-2815 | 2008-08-25 |
| 1477760494 | Eyes of Fairfield | Technician/Technologist | 1350 Travis Blvd, #1414 A, Fairfield, CA 94533-4646 | 2007-05-17 |
| 1831287382 | Wal-mart Stores Inc | Technician/Technologist | 2701 N Texas St, Fairfield, CA 94534 | 2006-10-10 |
| 1972609261 | Wal-mart Stores East, Lp | Technician/Technologist | 7201 Aaron Aronov Dr, Fairfield, AL 35064-1831 | 2006-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677481 | Ronald Haas Jr. | Technician/Technologist | 24 Pennsylvania Ave, Niantic, CT 06357-3231 | 2020-07-27 |
| 1982223293 | Sonya Voytas Maher | Technician/Technologist | 1197 Main Street, Coventry, CT 06109 | 2020-04-16 |
| 1881228237 | Rene R Rivard | Technician/Technologist | 639 Park Rd Ste 100, West Hartford, CT 06107-3443 | 2020-02-25 |
| 1588203301 | Rebecca Eneida Soto | Technician/Technologist | 20 Pasco Drive Suit A, East Windsor, CT 06088 | 2019-12-26 |
| 1376007419 | Green Valley Optical, LLC | Technician/Technologist | 21 Putnam Pike, Dayville, CT 06241 | 2019-01-23 |
| 1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
| 1215480785 | George Hatsian | Technician/Technologist | 4 High Hill Cir, Weatogue, CT 06089-9728 | 2016-08-01 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1942660220 | James Valinsky | Technician/Technologist | 240 Swain Ave, Meriden, CT 06450-7218 | 2016-03-01 |
| 1316321565 | Russell Fritz Jr. | Technician/Technologist | 2313 Whitney Ave., Suite 1d, Hamden, CT 06518-3504 | 2015-07-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.